학술논문
Heart‐Brain Team Approach of Acute Myocardial Infarction Complicating Acute Stroke: Characteristics of Guideline‐Recommended Coronary Revascularization and Antithrombotic Therapy and Cardiovascular and Bleeding Outcomes
Document Type
article
Author
Toshiaki Suzuki; Yu Kataoka; Masayuki Shiozawa; Kensuke Morris; Eri Kiyoshige; Kunihiro Nishimura; Kota Murai; Kenichiro Sawada; Takamasa Iwai; Hideo Matama; Satoshi Honda; Masashi Fujino; Shuichi Yoneda; Kensuke Takagi; Fumiyuki Otsuka; Yasuhide Asaumi; Masatoshi Koga; Masafumi Ihara; Kazunori Toyoda; Kenichi Tsujita; Teruo Noguchi
Source
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 12, Iss 2 (2023)
Subject
Language
English
ISSN
2047-9980
Abstract
Background Acute myocardial infarction (AMI) infrequently occurs after acute stroke. The Heart‐brain team approach has a potential to appropriately manage this poststroke cardiovascular complication. However, clinical outcomes of AMI complicating acute stroke (AMI‐CAS) with the heart‐brain team approach have not been characterized. The current study investigated cardiovascular outcomes in patients with AMI‐CAS managed by a heart‐brain team. Methods and Results We retrospectively analyzed 2390 patients with AMI at our institute (January 1, 2007–September 30, 2020). AMI‐CAS was defined as the occurrence of AMI within 14 days after acute stroke. Major adverse cerebral/cardiovascular events (cardiac‐cause death, nonfatal myocardial infarction, and nonfatal stroke) and major bleeding events were compared in subjects with AMI‐CAS and those without acute stroke. AMI‐CAS was identified in 1.6% of the subjects. Most AMI‐CASs (37/39=94.9%) presented ischemic stroke. Median duration of AMI from the onset of acute stroke was 2 days. Patients with AMI‐CAS less frequently received primary percutaneous coronary intervention (43.6% versus 84.7%; P